Pain, Postoperative
Conditions
Keywords
nerve block, pain management, postoperative period, postoperative complications, regional anesthesia, pain
Brief summary
Relieving postoperative nephrectomy pain requires multimodal approaches. Peripheral blocks such as ESP block and M-TAPA block and multimodal analgesics reduce side effects by reducing the use of other analgesics. This study aimed to compare the effectiveness of erector spinae plane block (ESP block) and modified thoracoabdominal nerve blocking with perichondrial approach (M-TAPA block) in postoperative analgesia management in nephrectomy cases.
Detailed description
Relieving postoperative nephrectomy pain requires multimodal approaches. The most commonly used in the treatment of pain are nonsteroidal anti-inflammatory drugs (NSAIDs), opioids, and infiltration of local anesthetics. Due to the side effects of NSAIDs and opioids, the application of regional analgesia techniques can reduce complications while providing better analgesia quality. Peripheral blocks such as ESP block and M-TAPA block and multimodal analgesics reduce side effects by reducing the use of other analgesics. Pain is considered one of the most important factors affecting the quality of healing. Postoperative pain delays the postanesthesia care unit, hospital stay, early ambulation, increases resource utilization, and negatively affects patient satisfaction. If postoperative analgesia is provided, all these negativities will be eliminated. This study aimed to compare the effectiveness of erector spinae plane block (ESP block) and modified thoracoabdominal nerve blocking with perichondrial approach (M-TAPA block) in postoperative analgesia management in nephrectomy cases.
Interventions
OTHERNRS 0. hour
Numerical rating scala
OTHERNRS 6. Hour
Numerical rating scala
OTHERNRS 12. Hour
Numerical rating scala
OTHERNRS 24. Hour
Numerical rating scala
Sponsors
Başakşehir Çam & Sakura City Hospital
Study design
Observational model
CASE_CROSSOVER
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* All patients aged 18 and over with ASA1-2 who underwent elective nephrectomy
Exclusion criteria
* ASA ≥3 * Body mass index\>35 kg/ m² * Infection in the block area * Coagulation disorder, * Known allergy to local anesthetics * Pregnant * Patient with neuropathy * Patient without cooperation * Patient who refuses to participate in the study * Patients under 18 years of age
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative Pain Management | 0.hour | The primary outcome of this study is to demonstrate that Modified Thoracoabdominal Nerves Block(M-TAPA) contributes sufficiently to multimodal analgesia in perioperative analgesia in nephrectomy surgery.This contribution will be evaluated with the NRS. NRS is a unidimensional scale in which 11 numbers (between 0 and 10) are used to measure pain intensity. The patient is asked to choose the number that best reflects the pain intensity, with 0 = no pain and 10 = worst (unbearable) pain. |
Countries
Turkey (Türkiye)
Contacts
Primary ContactHilal Akça
Outcome results
None listed